Active NPI
Michael John Conway, M.D.
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1386649564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6878
- Practice address
- 925 E McDowell Rd
Phoenix, AZ 85006 - Phone
- (602) 839-5362
- Fax
- (602) 839-5815
- NPI assigned
- Jun 15, 2005
- Last updated
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6878 | AZ | Primary |
Addresses
Primary practice location
925 E McDowell Rd
Phoenix, AZ 85006
Mailing address
925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 839-5362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232190 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6878 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1386649564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-839-5362",
"fax_number": "602-839-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-839-5362",
"fax_number": "602-839-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "6878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232190",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.